Pioneering skateboard great Andy Kessler of Manhattan was felled by a wasp sting. The Associated Press writeup refers to him having a fatal heart attack following the sting reaction. I suspect they don't realize that dropping blood pressure and heart attack is usually part of anaphylaxis, part of the sting reaction.

I wonder if he didn't know he was allergic. If you look at his health insurance woes, certainly an unfortunate but topical demise on 2 fronts:
- lack of anaphylaxis awareness
- and the need for better health insurance programs.

MILWAUKEE – Legendary skateboarder Andy Kessler’s death after being stung by an insect earlier this week is a reminder that stings can be deadly for those with stinging insect allergy. According to the American Academy of Allergy, Asthma & Immunology (AAAAI), up to 5% of Americans are at risk for a severe, potentially life-threatening allergic reaction from insect stings.

Unfortunately, most people are not aware they are allergic to insect stings until after experiencing a reaction. An allergic reaction occurs when the immune system overreacts to the insect venom. When this happens, an allergic person’s body produces an allergic substance called Immunoglobulin E (IgE) antibody, which reacts with the venom. This triggers the release of histamine and other chemicals that cause allergic symptoms and, in the most severe of cases, a rapid fall in blood pressure, loss of consciousness and sometimes even death.

Because a severe and sometimes fatal reaction can occur, it is important to know what common stinging insects look like. The most common stinging insects in the United States include:

Yellow jackets – black with yellow markings, found in various climates
Honeybees – a round, fuzzy body covered with dark brown and yellow markings
Paper wasps – slender, elongated bodies that are black, brown or red and have yellow markings
Hornets – black or brown with white, orange or yellow markings and are larger than yellow jackets
Fire ants – reddish-brown ants living in large mounds, mostly in warmer climates
It is also critical for anyone with allergies to insect stings to take precautions to avoid a potentially dangerous reaction. The AAAAI recommends the following tips to avoid being stung:

Avoid the “territory” of the stinging insect’s nest. These insects are most likely to sting if their homes are disturbed.
Remain calm, quiet and slowly move away from stinging insects. Do not swat them.
Avoid brightly colored clothing and perfume outdoors that may attract stinging insects.
Be careful when cooking, eating or drinking sweet beverages outdoors. Keep all food and beverages covered until consuming them.
Avoid loose-fitting garments that can trap insects between material and the skin.
When to see an allergy specialist
If you have experienced a reaction to insect stings or you think you may be allergic, consult with an allergist/immunologist to accurately diagnose your condition. An allergist/immunologist is the best qualified medical professional trained to manage the prevention, diagnosis and treatment of allergies and asthma.

An allergist might also suggest allergy shots, also known as immunotherapy treatment. Venom immunotherapy shots take effect within just a few months. Venom immunotherapy is the closest thing to a “cure” for allergic reactions. It is shown to be 97% effective in preventing future allergic reactions. Patients should see an allergist/immunologist if they:

Have reactions possibly due to insect stings for accurate identification of the specific allergen and consideration for immunotherapy (allergy shots).
Have systemic reactions possibly due to biting insects, for accurate identification of the specific allergen.
Have an allergic reaction (anaphylaxis) without an obvious or previously defined trigger.
Have had anaphylaxis attributed to food, drugs or insect stings.
The AAAAI (www.aaaai.org) represents allergists, asthma specialists, clinical immunologists, allied health professionals and others with a special interest in the research and treatment of allergic disease. Established in 1943, the AAAAI has nearly 6,500 members in the United States, Canada and 60 other countries.

To locate an allergist/immunologist, visit the AAAAI Physician Referral Directory at www.aaaai.org/physref.

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